Legacy Smiles Family Dental, Pllc is a Dental Clinic in Meridian, Idaho. It is located at 1180 N Olive Ave, Meridian, ID and its contact number is 208-888-3311. The authorized person for Legacy Smiles Family Dental, Pllc is Brad J Williams
who is Partner of the clinic and their contact number is 208-888-3311. The primary license number for Legacy Smiles Family Dental, Pllc is D3220 (General Practice) in Idaho. Legacy Smiles Family Dental, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Legacy Smiles Family Dental, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Legacy Smiles Family Dental, Pllc
Specialization:
General Practice Dentistry
Clinic Address:
1180 N Olive Ave, Meridian, Idaho, 83642-5920
Phone:
208-888-3311
Fax:
208-888-1691
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Brad J Williams
Position:
Partner
Contact Number:
208-888-3311
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Legacy Smiles Family Dental, Pllc clinic are as mentioned below.
NPI Number:
1275646259
NPI Enumeration Date:
16 Aug, 2006
NPI Last Update On:
12 May, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Smiles Family Dental, Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
D3220
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002799500
Medicaid
Idaho
806233700
Medicaid
Idaho
002799600
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Legacy Smiles Family Dental, Pllc 1180 N Olive Ave, Meridian, Idaho
Zip:
83642-5920
Phone Number:
208-888-3311
Fax Number:
208-888-1691
Patients can reach Legacy Smiles Family Dental, Pllc at 1180 N Olive Ave, Meridian, Idaho or can call to book an appointment on 208-888-3311. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.